Laserfiche WebLink
the Evergreen r� �0 N ST R U CT I O P`'�� ^ <br /> cirv oF <br /> everett PERMIT PERMIT NO. 16561 <br /> CITV HAIL 2548705 <br /> EVERETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOORESS CITV ZIP PHONE <br /> PIGNATARO NISSAN 10500 HIGHWAY 99 S FvPrett WA 98204 34R_�1C1 <br /> ARCMITECiORDE5IGNER MAILAODRESS CIIY ZIP PHONE <br /> GENERAI 'ONiRRCTOR MAIL AUDRE55 CITY ZIP PHONE LICENSE� <br /> TUBE ART SIGNS PO BOX 9012 EVERETT WA 98206 5 -o0R6 TIIREAST161RM <br /> MECH�NICAL CONTRACTOR MNL AOORESS CITY ZIP PHONE IICENSE� <br /> PLUMBING CONTRAGTOR MAIL ADDRESS CITV 21P PHONE LICENSE N <br /> CU55OF WUHR <br /> ❑ NEW ❑ ADDITION O AL7ERATION ❑REPAIR O DEMOLITION ❑ FENCE X� SIGN ❑ WO00 STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> 5 2��00.�� <br /> DESCRIBE WORR <br /> Install si n - <br /> PROPOSE�USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED <br /> Cdl' Sd12S APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL DESCRIPTION OF PROPEATY(SHOW BEIOW OF ATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT__BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OH CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. ` <br /> JOB ADDRE55 IO a D < v.e„y re��,i �(t"f SIGNATURE O^CONTflACTOR O HORREO AGENT OAT • <br /> x r <br /> PIUMBINO MECHANICAL <br /> N0. TYPE OF FIXTURE Ofl ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND.UNITS— H.P. EA. <br /> BATHTUB FEFRiGERATION UNITS — H.P.EA. <br /> LAVATORY IWASH BASIN) E301LERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS — 70NNAGE EA. <br /> KITCHEN uINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEFiS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUIJM BREAKERS STOVE —WOOD <br /> ROOF ORAINS— RAINLEA�EiiS METAL FIFiEPLACE 8 CHIMNEY _ <br /> SINK(SERVICE— BAR, ETCJ FIREPLACE INSERT __ <br /> HEAT PUMP <br /> SUB TOTAI f SUB TOTAL S <br /> PEHMIT S PERMIT S <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARO SETBACK STREET SETBAGK REAR YARD SETBAGK PLAN CHECK NUMBER FLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LO7 AHFA VACAN7 SITE FEES VALUATION FEE <br /> -_.YES i:NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> BUILDING .00 OO <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING �. 91 <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED <br /> ��VES C:NO Npppt�$493 <br /> APPPOVALS <br /> BY DATE O7HER <br /> 7.ENVIRONMENTAL CHECK UST PENhi.'Y �031a) <br /> 2.BUILDINGPLANS TOTAL �� 9 OO <br /> 3.FIRE HYDRANT , <br /> 4.FIRE PROTEGTION SYSTEM PERMIT VALIOATION <br /> WHEN PROPERLY VALIDATED(IN�lI�SPACEI TlO�i�OUR PERMIT 1 j <br /> S.GRADING Sign t0 be a�� 011 �F�ate ��'t,Y � <br /> 6.DRAINAGE l.C) <br /> 7.ENVIRONMENTALIMPACTS7ATEMEN7 CLI <br /> B.HEALTH UISTRICT �J <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSl1ANCE BY <br /> I1V �C <br /> ADDRESS FILE <br />